Individual provider Active NPI

Neelesh Lalji Chudasama, M.D.

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
National Provider Identifier
1740423805
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
262300 Issued in NY
Practice address
2 Ohio Dr
New Hyde Park, NY 11042-1111
Phone
(516) 622-6060
NPI assigned
Apr 19, 2009
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10005400 NJ
Internal Medicine Physician 207R00000X 262300 NY
Cardiovascular Disease Physician 207RC0000X 25MA10005400 NJ
Cardiovascular Disease Physician 207RC0000X 262300 NY Primary

Addresses

Primary practice location

2 Ohio Dr
New Hyde Park, NY 11042-1111

Mailing address

845 United Nations PLZ
#56A
New York, NY 10017-3540
Phone (617) 835-6751

Other practice location 1

1101 Raritan Rd
Clark, NJ 07066-1315
Phone (732) 381-3055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20181020000460 NJ Practitioner - Cardiovascular Disease (Cardiology) 2365795358 Reassigns benefits to 1 organization
I20231129003142 NY Practitioner - Cardiovascular Disease (Cardiology) 2365795358 Reassigns benefits to 1 organization
I20250916001329 CA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 2365795358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
May accept Medicare assignment
Group practices
San Francisco Unified Physicians Group, IncGroup PAC ID 8426310004, 18 clinicians

Practice addresses (Care Compare)

30 Prospect Ave
Hackensack, NJ 07601-1915

65 James St
Edison, NJ 08820-3947
Phone (732) 321-7901

845 Jackson St
San Francisco, CA 94133-4851
Phone (415) 779-8868

865 Stone St
Rahway, NJ 07065-2742
Phone (732) 321-7010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.33 of 100Reported as group
Quality
66.38
Promoting interoperability
100
Improvement activities
40
Cost
71.39

Merit-based Incentive Payment System (MIPS)

Final score
82.13 of 100Reported as group
Quality
72.13
Promoting interoperability
91
Improvement activities
40
Cost
75.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 26, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 1, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Internal Medicine CurrentSince Jan 1, 2023 Accepting new patients
Lalji S. Chudasama MD Facc PA Cardiovascular Disease CurrentSince Oct 1, 2018 Accepting new patients
San Francisco Unified Physicians Group, Inc. CurrentSince Jun 6, 2025 Accepting new patients
Optum Medical Care, P.C. Cardiovascular Disease CurrentSince Sep 26, 2023 Accepting new patients
Hackensack Meridian Health Medical Group - Complex Care PC Internal Medicine Past Accepting new patients

Locations

2440 16th St
#108
San Francisco, CA 94103

845 Jackson St
San Francisco, CA 94133
Phone (415) 677-2300

1101 Raritan Rd
Clark, NJ 07066
Phone (732) 381-3055

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

Philadelphia, PA 19195

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD
  • Direct secure messaging: neelesh.chudasama@direct.hackensackmeridian.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1740423805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 UNITED NATIONS PLZ",
            "address_2": "#56A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173540",
            "telephone_number": "617-835-6751",
            "fax_number": "908-769-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OHIO DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421111",
            "telephone_number": "516-622-6060"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Raritan Rd",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070661315",
            "country_code": "US",
            "telephone_number": "732-381-3055",
            "fax_number": "732-815-9330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUDASAMA",
        "first_name": "NEELESH",
        "middle_name": "LALJI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-19",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10005400",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "262300",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10005400",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "262300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.